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Alternative techniques for failure of conventional inferior alveolar nerve block

Journal of Dental Anesthesia and Pain Medicine 2019³â 19±Ç 3È£ p.125 ~ 134
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ÀÌÃÖ·® ( Lee Choi-Ryang ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
¾çÈÆÁÖ ( Yang Hoon-Joo ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Successful local anesthesia in dental treatment is the most important prerequisite for pain control of patients.
However, unlike that in the maxilla, it is difficult to administer local anesthesia in the mandible, and the success rate of conventional inferior alveolar nerve block (IANB) is only 80?85%. It is attributed to various causes such as anatomical variations, extreme anxiety, and technical errors; thus, various alternatives have been devised to improve this. We will analyze the causes of failure in conventional IANB and examine various alternatives that can be applied in these cases.

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Anatomical Factor; Anesthetic Technique; Inferior Alveolar Nerve Block; Patient Factor; Technical Factor

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